Effects of resistance exercise in prostate cancer patients: a meta-analysis
Identifieur interne : 009178 ( Ncbi/Merge ); précédent : 009177; suivant : 009179Effects of resistance exercise in prostate cancer patients: a meta-analysis
Auteurs : M. Keilani [Autriche] ; T. Hasenoehrl [Autriche] ; L. Baumann [Autriche] ; R. Ristl [Autriche] ; M. Schwarz [Autriche] ; M. Marhold [Autriche] ; T. Sedghi Komandj [Autriche] ; R. Crevenna [Autriche]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2017.
Abstract
The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.
Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.
Pooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg;
RE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.
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DOI: 10.1007/s00520-017-3771-z
PubMed: 28600706
PubMed Central: 5527087
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Keilani</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Hasenoehrl, T" sort="Hasenoehrl, T" uniqKey="Hasenoehrl T" first="T." last="Hasenoehrl">T. 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Baumann</name><affiliation wicri:level="3"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Section of Medical Statistics, CeMSIIS,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Ristl, R" sort="Ristl, R" uniqKey="Ristl R" first="R." last="Ristl">R. 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Marhold</name><affiliation wicri:level="3"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Internal Medicine I/Oncology,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Sedghi Komandj, T" sort="Sedghi Komandj, T" uniqKey="Sedghi Komandj T" first="T." last="Sedghi Komandj">T. Sedghi Komandj</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Crevenna, R" sort="Crevenna, R" uniqKey="Crevenna R" first="R." last="Crevenna">R. Crevenna</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18-20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p id="Par1">The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.</p></sec><sec><title>Methods</title><p id="Par2">Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.</p></sec><sec><title>Results</title><p id="Par3">Pooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg; <italic>p</italic> < 0.001 and 95% CI [10.51, 45.88] kg; <italic>p</italic> = 0.008, respectively) after RE. Furthermore, significant improvements were seen for body composition (body fat percentage 95% CI [−0.79, −0.53] %; <italic>p</italic> < 0.001; lean body mass 95% CI [0.15, 1.84] %; <italic>p</italic> = 0.028; trunk fat mass 95% CI [−0.73, −0.08] kg; <italic>p</italic> = 0.024). Additionally, the improvement of the 400-m walk time was significant (95% CI [−21.55, −14.65] s; <italic>p</italic> < 0.001). Concerning fatigue and HRQoL, there were not sufficient data for analysis.</p></sec><sec><title>Conclusions</title><p id="Par4">RE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author><author><name sortKey="Eser, S" uniqKey="Eser S">S Eser</name></author><author><name sortKey="Mathers, C" uniqKey="Mathers C">C Mathers</name></author><author><name sortKey="Rebelo, M" uniqKey="Rebelo M">M Rebelo</name></author><author><name sortKey="Parkin, Dm" uniqKey="Parkin D">DM Parkin</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id><journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id><journal-title-group><journal-title>Supportive Care in Cancer</journal-title></journal-title-group><issn pub-type="ppub">0941-4355</issn><issn pub-type="epub">1433-7339</issn><publisher><publisher-name>Springer Berlin Heidelberg</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28600706</article-id><article-id pub-id-type="pmc">5527087</article-id><article-id pub-id-type="publisher-id">3771</article-id><article-id pub-id-type="doi">10.1007/s00520-017-3771-z</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Effects of resistance exercise in prostate cancer patients: a meta-analysis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Keilani</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hasenoehrl</surname><given-names>T.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Baumann</surname><given-names>L.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Ristl</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Schwarz</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Marhold</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Sedghi Komandj</surname><given-names>T.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Crevenna</surname><given-names>R.</given-names></name><address><phone>+43 1 40400 43300</phone><email>richard.crevenna@meduniwien.ac.at</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine, Rehabilitation and Occupational Medicine,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Section of Medical Statistics, CeMSIIS,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Internal Medicine I/Oncology,</institution><institution>Medical University of Vienna, Comprehensive Cancer Center,</institution></institution-wrap>Waehringer Guertel 18-20, 1090 Vienna, Austria</aff></contrib-group><pub-date pub-type="epub"><day>10</day><month>6</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>6</month><year>2017</year></pub-date><pub-date pub-type="ppub"><year>2017</year></pub-date><volume>25</volume><issue>9</issue><fpage>2953</fpage><lpage>2968</lpage><history><date date-type="received"><day>11</day><month>2</month><year>2017</year></date><date date-type="accepted"><day>30</day><month>5</month><year>2017</year></date></history><permissions><copyright-statement>© The Author(s) 2017</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold> This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p></license></permissions><abstract id="Abs1"><sec><title>Purpose</title><p id="Par1">The aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.</p></sec><sec><title>Methods</title><p id="Par2">Trial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.</p></sec><sec><title>Results</title><p id="Par3">Pooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg; <italic>p</italic> < 0.001 and 95% CI [10.51, 45.88] kg; <italic>p</italic> = 0.008, respectively) after RE. Furthermore, significant improvements were seen for body composition (body fat percentage 95% CI [−0.79, −0.53] %; <italic>p</italic> < 0.001; lean body mass 95% CI [0.15, 1.84] %; <italic>p</italic> = 0.028; trunk fat mass 95% CI [−0.73, −0.08] kg; <italic>p</italic> = 0.024). Additionally, the improvement of the 400-m walk time was significant (95% CI [−21.55, −14.65] s; <italic>p</italic> < 0.001). Concerning fatigue and HRQoL, there were not sufficient data for analysis.</p></sec><sec><title>Conclusions</title><p id="Par4">RE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Prostate cancer</kwd><kwd>Resistance exercise</kwd><kwd>Androgen deprivation therapy</kwd><kwd>Body composition</kwd><kwd>Muscular strength</kwd><kwd>Physical performance</kwd></kwd-group><funding-group><award-group><funding-source><institution>Medical University of Vienna</institution></funding-source></award-group><open-access><p>Open access funding provided by Medical University of Vienna.</p></open-access></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag GmbH Germany 2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Keilani, M" sort="Keilani, M" uniqKey="Keilani M" first="M." last="Keilani">M. Keilani</name></region><name sortKey="Baumann, L" sort="Baumann, L" uniqKey="Baumann L" first="L." last="Baumann">L. Baumann</name><name sortKey="Crevenna, R" sort="Crevenna, R" uniqKey="Crevenna R" first="R." last="Crevenna">R. Crevenna</name><name sortKey="Hasenoehrl, T" sort="Hasenoehrl, T" uniqKey="Hasenoehrl T" first="T." last="Hasenoehrl">T. Hasenoehrl</name><name sortKey="Marhold, M" sort="Marhold, M" uniqKey="Marhold M" first="M." last="Marhold">M. Marhold</name><name sortKey="Ristl, R" sort="Ristl, R" uniqKey="Ristl R" first="R." last="Ristl">R. Ristl</name><name sortKey="Schwarz, M" sort="Schwarz, M" uniqKey="Schwarz M" first="M." last="Schwarz">M. Schwarz</name><name sortKey="Sedghi Komandj, T" sort="Sedghi Komandj, T" uniqKey="Sedghi Komandj T" first="T." last="Sedghi Komandj">T. Sedghi Komandj</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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